Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMIR A PATEL, D.O.
Deactivated Sole ProprietorDR. SAMIR A PATEL, D.O. is a Pediatrics healthcare provider located in DECATUR, Illinois. NPI 1992704332 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · DECATUR, IL
This NPI has been deactivated.
The record was deactivated on March 18, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1992704332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (0.66301369863014 yrs)
- Last Updated
- Dec 30, 2021
- Deactivated
- Mar 18, 2006
- License
-
036096741 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1730 E LAKE SHORE DRDECATUR, IL, 625213809Browse IL providers · Browse ZIP 62521
- Phone
- 2173291000
- Fax
- 2173291055
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SHARON J BONDS | M.D. | 1083612873 |
| CHRISTINA M BRANHAM | M.D. | 1124001391 |
| JAMIE SUE WARNICK | MD | 1235115155 |
| DR. VINEETA CHANDRA | MD | 1356316541 |
| MARGARET M THOMSON | M.D. | 1033177183 |
| MAYRA A ARZON | MD | 1114958048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.